Risk factors for repeated emergency compulsory psychiatric admissions.
| Autor: | de Jong MH; Yulius Mental Health, the Netherlands., Wierdsma AI; Epidemiological and Social Psychiatric Research Institute (ESPRi), Department of Psychiatry, Erasmus University Medical Centre, the Netherlands., Zoeteman J; Spoedeisende Psychiatrie Amsterdam, the Netherlands., van Boeijen CA; GGNet, the Netherlands., Van Gool AR; Emergis, the Netherlands., Mulder CL; Epidemiological and Social Psychiatric Research Institute (ESPRi), Department of Psychiatry, Erasmus University Medical Centre, the Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | BJPsych open [BJPsych Open] 2020 Dec 22; Vol. 7 (1), pp. e19. Date of Electronic Publication: 2020 Dec 22. |
| DOI: | 10.1192/bjo.2020.153 |
| Abstrakt: | Background: The characteristics of patients who have repeated compulsory psychiatric admissions are largely unknown. Aims: To investigate the frequency and risk factors for repeated emergency compulsory psychiatric admission (ECPA); and to identify targets for interventions to reduce repeated ECPA. Method: Data were collected from a database of electronic patient files (EPFs) held by three psychiatric emergency services (PES) in the Netherlands. Analyses were based on the data for adult patients (aged 18-75 years) with a first PES contact in 2010-2015. Using descriptive statistics and regression analysis, we studied the associations between baseline patient factors and repeated ECPA and time to readmission, within a 2-year follow-up period. Results: We included 6059 patients: 15.6% had two or more ECPAs. In total, 66% of second ECPAs had occurred within 6 months of the first. About 30% of all ECPAs were repeated ECPAs. Two baseline factors were associated with a higher frequency of a second ECPA: history of receiving any mental healthcare treatment, whether in-patient or out-patient or both, and a lower level of self-care. Three were associated with a lower frequency: ethnicity (other than Dutch), older age and suicidality. Lower Global Assessment of Functioning (GAF) scores and housing problems were associated with a shorter time to compulsory readmission and persistent psychiatric problems with a longer time to compulsory readmission. Conclusions: We found that 15.6% of patients had two or more ECPAs. Two-thirds of the second ECPAs had occurred within 6 months of the first. Like earlier studies, the risk factors we identified suggest that interventions to reduce the risk of repeated compulsory psychiatric admission should seek to improve self-care, general daily functioning and homelessness. |
| Databáze: | MEDLINE |
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